DR. DEREK NAEGLE (NPI# 1467607077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467607077 |
| Entity Type | Individual |
| Full Name | DR. DEREK NAEGLE |
| Credential | DPM |
| Practice Address |
7117 Brockton Ave Riverside CA 92506-2615 |
| Mailing Address |
3660 Arlington Ave Riverside CA 92506-3912 |
| Practice Telephone | 9517825110 |
| Mailing Telephone | 9517825110 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2011-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E4867 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 510657874 | UT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SITE PTAN # | ZZZ31887Z | 01 |
| Street Address |
7117 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673626 | Nardo Barrameda Buena | Family Medicine | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2005-07-20 |
| 1174186910 | Brenda Patricia Okware | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2019-04-17 |
| 1174049878 | Amy Dawn Causey | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-08-15 |
| 1083137269 | Sandra Garcia Soriano | Registered Nurse | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-07-19 |
| 1316471865 | May Leng | Pharmacist | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-04-11 |
| 1861931230 | Stephanie Nicole Vasquez | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-02-18 |
| 1730634270 | Kaely Owen | Registered Nurse | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-08-24 |
| 1528416245 | Robert Vela | Family Medicine | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-06-03 |
| 1306291299 | Joy Hong | Student in an Organized Health Care Education/Training Program | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-04-28 |
| 1346694320 | Jackie Shin | Pharmacist | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295095271 | Jeremy Busch | Podiatrist | 3838 Sherman Dr Ste 9, Riverside, CA 92503-4001 | 2012-05-23 |
| 1720276058 | James F Eggold | Podiatrist | 8781 Lakeside Ave, Riverside, CA 92509-5961 | 2007-10-11 |
| 1497842868 | Donald Gregory Vogt | Podiatrist | 4049 Almond St, Suite 101, Riverside, CA 92501-3531 | 2006-10-06 |
| 1942219639 | Martha F Thornton | Podiatrist | 2910 Harlem Ave., Riverside, IL 60546-1785 | 2006-08-05 |
| 1538580881 | Corona/riverside Health Clinic | Podiatrist | 3950 Pierce St Ste J, Riverside, CA 92505-3809 | 2014-01-03 |
| 1265756795 | Daisy Wu, Dpm, Inc. | Podiatrist | 4646 Brockton Ave, Suite 202, Riverside, CA 92506-0102 | 2010-03-26 |
| 1124207410 | Robert E Parker Dpm | Podiatrist | 3838 Sherman Dr, Suite 9, Riverside, CA 92503-4001 | 2007-11-02 |
| 1417016130 | James Fong | Podiatrist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-08 |
| 1669569083 | Jong In Kim | Podiatrist | 6405 Day St, Riverside, CA 92507-0901 | 2006-10-06 |
| 1144317512 | Inland Podiatry Group Inc | Podiatrist | 4049 Almond St, Suite 101, Riverside, CA 92501-3531 | 2006-10-06 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.